Comparison of barium swallow and ultrasound in diagnosis of gastro-oesophageal reflux in children.

Naik, Deepti; Bolia, A; Moore, D J

doi:10.1136/bmj.290.6486.1943

Cited by 25 publications

(10 citation statements)

References 10 publications

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“…16,22 There are few published data on the use of ultrasonography to demonstrate GER. 23,24 These have shown ultrasonography to be more sensitive than the UGS as its lack of ionizing radiation allows for a longer observation period for evaluating the G-E junction. In order to determine the value of this new modality in the diagnosis of GER, we performed ultrasound examinations simultaneously with pH recording in symptomatic children who were evaluated for GER with overnight EEpHM.…”

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confidence: 99%

Ultrasound diagnosis of gastroesophageal reflux and hiatal hernia in infants and young children

Westra

Wolf

Staalman

1990

J of Clinical Ultrasound

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In 30 young children suspected of gastroesophageal reflux (GER), the G-E junction was examined with ultrasonography directly after a feeding while these children were on overnight extended esophageal pH monitoring (EEpHM) (32 simultaneous ultrasound/EEpHM studies). The two tests showed 81% to 84% agreement in the detection of the presence or absence of GER, depending on whether the whole period of EEpHM or only the part of it covering the ultrasound observation period were used as the standard. The discrepancies between the two tests were explained by the much longer monitoring period of EEpHM compared to ultrasonography and the inability of EEpHM to show reflux of neutralized gastric contents directly after milk feedings. The two studies probably measure different aspects of clinically significant reflux and must be correlated with the clinical symptoms. Morphological findings associated with significant reflux were (1) a short intra-abdominal part of the esophagus, (2) a rounded gastroesophageal angle, and (3) a "beak" at the gastroesophageal junction. Barium meal findings confirmed these sonographic signs, indicating a sliding hiatal hernia of the distal esophagus, either fixed or intermittent. Ultrasonography can be recommended as a useful and physiological screening test to demonstrate clinically significant GER and a predisposing hiatal hernia of the esophagus in symptomatic children.

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confidence: 99%

Ultrasound diagnosis of gastroesophageal reflux and hiatal hernia in infants and young children

Westra

Wolf

Staalman

1990

J of Clinical Ultrasound

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“…[58][59][60] Nuclear scintigraphy is not recommended in the routine diagnosis and management of GERD in infants and children but may be of use for detecting non-acid reflux events. 61 Oesophageal ultrasonography is a favourable option in children because of its non-invasive nature, [62][63][64][65] but at present its use as a diagnostic tool for GERD is limited. It is therefore necessary for physicians to consider the variability between techniques when evaluating extraoesophageal manifestations of GERD in the paediatric population.…”

Section: Discussionmentioning

confidence: 99%

Systematic review: the extra‐oesophageal symptoms of gastro‐oesophageal reflux disease in children

Tolia

Vandenplas

2008

Aliment Pharmacol Ther

108

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“…It is a relevant and relatively frequent finding in infants (1,2) . In neonates, this disorder may be physiological in nature and, in most of cases, self-limited and benign (3) .…”

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confidence: 99%

Refluxo gastroesofágico: estudo comparativo da receptividade e sensibilidade entre seriografia e ultrassonografia

et al. 2009

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OBJECTIVE: Comparative study of receptiveness (cooperation) and sensitivity of upper gastrointestinal series and intraabdominal esophagus ultrasonography in patients with suspicion of gastroesophageal reflux. MATERIALS AND METHODS: The present study included 42 pediatric patients (26 male, with mean age of 33.64 ± 34.33 months, and 16 female, with mean age of 31.02 ± 35.56 months) with suspicion of gastroesophageal reflux, who were initially submitted to upper gastrointestinal series and subsequently to intraabdominal esophagus ultrasonography. RESULTS: The statistical comparative analysis covering sexes and ages suggests no evidence of association with cooperation, both for the upper gastrointestinal series and the intraabdominal esophagus ultrasonography. However, in the classification of the patients' cooperation, the technique of upper gastrointestinal series presented less than 50% of cooperation, while 80.49% of patients cooperated in the intraabdominal esophagus ultrasonography examinations. As regards the methods sensitivity for the diagnosis of gastroesophageal reflux, the technique of intraabdominal esophagus ultrasonography was significantly superior (85.7%) to the upper gastrointestinal series (47.6%). CONCLUSION: The present study suggests that an intraabdominal esophagus ultrasonography should be performed even if gastroesophageal reflux even if it is not detected at the upper gastrointestinal series. Keywords: Gastroesophageal reflux; Intraabdominal esophagus; Ultrasonography; Contrast-enhanced study.OBJETIVO: Estudo comparativo da receptividade (colaboração) e sensibilidade da seriografia do esôfago, estômago e duodeno em relação à ultrassonografia do esôfago intra-abdominal em pacientes com suspeita de refluxo gastroesofágico. MATERIAIS E MÉTODOS: Foram incluídos no estudo 42 pacientes pediátricos (26 masculinos, com idade média de 33,64 ± 34,33 meses, e 16 femininos, com idade média de 31,02 ± 35,56 meses) com suspeita de refluxo gastroesofágico, os quais foram submetidos, inicialmente, a seriografia do esôfago, estômago e duodeno, e posteriormente, a ultrassonografia do esôfago intra-abdominal. RESUL-TADOS: A análise estatística comparativa entre os sexos e as idades sugere não haver evidência de associação com a colaboração, tanto para a seriografia do esôfago, estômago e duodeno como para a ultrassonografia do esôfago intra-abdominal. Entretanto, na classificação quanto ao tipo de colaboração, a técnica de seriografia do esôfago, estômago e duodeno apresentou menos de 50% de colaboração, enquanto 80,49% dos pacientes colaboraram com a ultrassonografia do esôfago intra-abdominal. Quanto à sensibilidade do diagnóstico de refluxo gastroesofágico, a técnica de ultrassonografia do esôfago intra-abdominal (85,7%) foi significativamente superior à de seriografia do esôfago, estômago e duodeno (47,6%). CONCLUSÃO: O presente estudo sugere que se proceda a ultrassonografia do esôfago intra-abdominal, mesmo na ausência de refluxo gastroesofágico na seriografia do esôfago, estômago e duodeno. Unitermos:...

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Comparison of barium swallow and ultrasound in diagnosis of gastro-oesophageal reflux in children.

Cited by 25 publications

References 10 publications

Ultrasound diagnosis of gastroesophageal reflux and hiatal hernia in infants and young children

Ultrasound diagnosis of gastroesophageal reflux and hiatal hernia in infants and young children

Systematic review: the extra‐oesophageal symptoms of gastro‐oesophageal reflux disease in children

Refluxo gastroesofágico: estudo comparativo da receptividade e sensibilidade entre seriografia e ultrassonografia

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